Provider Demographics
NPI:1285740191
Name:KRYGOWSKA, ALICJA (PT)
Entity type:Individual
Prefix:MRS
First Name:ALICJA
Middle Name:
Last Name:KRYGOWSKA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162E 80TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0426
Mailing Address - Country:US
Mailing Address - Phone:646-450-0211
Mailing Address - Fax:212-988-9353
Practice Address - Street 1:162E 80TH ST 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0426
Practice Address - Country:US
Practice Address - Phone:646-450-0211
Practice Address - Fax:212-988-9353
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0205901225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist